Nole, Roberta
Nole, Roberta is an individual health care provider with primary practice located at 80 Turnpike Dr Unit 1, Middlebury CT 06762-1830. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Nole, Roberta can be contacted via phone (203) 758-8307.Contact Information
Primary practice address
80 Turnpike Dr Unit 1
Middlebury CT 06762-1830
Phone: (203) 758-8307
Fax: (203) 758-8394
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter | 225000000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 003621 | Connecticut |
Profile Details
| NPI number | 1700064979 |
|---|---|
| LBN Legal business name | Nole, Roberta |
| Credentials | MAPT, CPED |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2008 |
| Last updated | Jan 30th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700064979 | NPPES |
| Connecticut | Other | 12DME0603CT01 | ANTHEM BLUE CROSS BLUE SHIELD |
| Connecticut | MEDICAID | 004137338 | ANTHEM BLUE CROSS BLUE SHIELD |
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